Nicoleta Van Gelder1*, Ileana Mitre2 and Javotte Nancy3
1Department of Paediatric Dentistry, Happydent Clinic Junior, Cluj Napoca, Romania
2Departament of ATI Anesthesiology, Iuliu Hatieganu University, Cluj Napoca, Romania
3MCU-PH Odontologie Pédiatrique, Victor Segalen University, France
*Corresponding Author: Nicoleta Van Gelder, Department of Paediatric Dentistry, Happydent Clinic Junior, Cluj Napoca, Romania.
Received: August 01, 2018; Published: August 29, 2018
Citation: Nicoleta Van Gelder., et al. “Nitrous Oxide Sedation 10 Years Retrospective Review in a Pediatric Dental Clinic in Cluj Napoca, Romania". Acta Scientific Dental Sciences 2.9 (2018).
Aim: To evaluate the 10 years outcomes of Nitrous Oxide Sedation (NOS) and to verify the referral reasons, indications, the safety and the effectiveness of this behaviour management method (BMT) when it is administered by a trained pediatric dentist and/or accompanied by an anesthesiologist in a pediatric private clinic in Cluj Napoca/Romania.
Methods: This was a retrospective review of prospectively-collected data (March 2008 - March 2018) of the case notes of patients aged between 3 - 12 years old attending for Nitrous Oxide Sedation in a pediatric private dental clinic. A quantitative approach to explore the use of NOS was used. The research items were categorized into 7 categories: NOS referrals, Nr. referrals for NOS with previous unsuccessful NOS, NOS sessions performed, age distribution, successful NOS, indesirable effects of NOS, NOS for local analgesia reason as prophylactic sedation.
Result: From 6218 NOS referrals, 4022 cases were solved without NOS but by non-pharmacological methods, 1089 (17,5%) patients had previous unsuccessful NOS experience, 1892 cases were selected and performed by NOS, 4400 NOS sessions were performed, 3084 sessions (70%) were successful, 369 underwent procedural analgesia with NOS as prophylactic sedation for dental procedures, and 938 for anxiolysis and analgesia.
Conclusion: NOS is a brilliant pharmacological BMT method for prophylactic sedation if the indications and the NOS guidelines are respected. NOS is not a panacea for all kind of anxieties or pediatric dental procedures. The BMT methods must be performed as the first choice before referral for NOS and - as any pharmacological BMT methods- NOS must be accompanied by a psychological one.
Keywords: Nitrous Oxide Sedation; Prophylactic Sedation; Sedation Referrals; Conscious Sedation Indications; NOS Outcomes; Pediatric Patients
Copyright: © 2018 Nicoleta Van Gelder., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.